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国际临床研究杂志

International Journal of Clinical Research

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International Journal of Clinical Research. 2023; 7: (3) ; 10.12208/j.ijcr.20230120 .

Systematic review and Meta-analysis of effects of comprehensive nursing intervention on analgesia in patients with cancer pain
综合护理干预辅助癌痛患者镇痛影响的系统评价和Meta分析

作者： 迟瑞玲 *, 李进, 高辉, 霍娜, 刘莹

青岛市黄岛区中心医院 山东青岛

黄岛区中医医院 山东青岛

*通讯作者： 迟瑞玲,单位：青岛市黄岛区中心医院 山东青岛；

引用本文: 迟瑞玲, 李进, 高辉, 霍娜, 刘莹 综合护理干预辅助癌痛患者镇痛影响的系统评价和Meta分析[J]. 国际临床研究杂志, 2023; 7: (3) : 64-68.
Published: 2023/3/24 10:24:56

摘要

目的 系统评价综合护理干预辅助癌痛患者镇痛中的影响，为临床护理应用提供参考依据。方法 检索从建库至2023年1月CNKI、VIP、万方数字资源系统（China Info）等中文数据库及PubMed、Cochrane、EMBASE外文数据中综合护理干预癌痛患者镇痛的随机对照试验，由两名研究者根据标准独立筛选、提取资料后使用 RevMan 5.4软件进行Meta分析。结果 经筛选最终纳入8篇文献共961例受试者，两组护理干预后合并效应值[MD=-1.16，95%CI（-1.76，-0.55），Z=3.75，P=0.0002]，差异具有统计学意义（P<0.05）。结论 综合护理干预辅助癌痛患者镇痛中起到积极的影响，值得临床应用并进一步探讨。

关键词： 综合护理；癌痛；镇痛；系统评价；Meta分析

Abstract

Objective To systematically evaluate the effects of comprehensive nursing intervention on analgesia in patients with cancer pain, so as to provide reference for clinical nursing application.
Methods Randomized controlled trials of comprehensive nursing intervention on analgesia in patients with cancer pain were retrieved from Chinese databases including CNKI, VIP, Wanfang Digital Resource System (China Info) and foreign language data including PubMed, Cochrane and EMBASE from the establishment of the database to January 2023. Two researchers independently screened and extracted data according to the criteria, and then performed meta-analysis using RevMan 5.4 software.
Results A total of 961 subjects were included in 8 literatures after screening. The combined effect value of the two groups after nursing intervention [MD=-1.16, 95%CI (-1.76, -0.55), Z=3.75, P=0.0002] was statistically significant (P<0.05).
Conclusion  s The comprehensive nursing intervention has a positive effect on the analgesia of cancer pain patients, which is worthy of clinical application and further discussion.

Key words： Comprehensive nursing; Pain; Analgesia; Systematic evaluation; Meta analysis

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